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Federal Science and Technology: The Pursuit of Excellence - Appendix
Health Canada
Health Canada (HC) performs high-quality research, surveillance and other
science activities to help Canadians maintain and improve their health. Scientific
information is necessary to support policy development; to regulate increasingly
sophisticated products; and to provide the services, information, and management
essential to affordable and world-class health care.
The department conducts, funds and uses science to address a range of issues.
In the past year, HC faced urgent challenges, such as SARS, BSE (or “mad
cow disease”) and the West Nile Virus. Internal scientific capacity
is necessary to anticipate and respond to emerging challenges such as these,
and to support ongoing regulatory activities and programs.
HC has recognized science-based challenges in its Corporate Risk Profile,
and has developed a framework to strengthen science planning, evaluation,
and reporting. The HC Framework for Science and the Framework for Federal
Science and Technology are both based on the same principles — namely,
that its science be aligned with its priorities, that it capitalize on the
best expertise through collaboration, that it demonstrate excellence and
innovation, and that it reflect Canadians’ expectations of sound management
and stewardship.
Since 2002, when the Executive Committee approved the Health Canada Framework
for Science, HC has amassed an inventory of current science activities, and
a self-assessment of these activities against Framework principles. The department
is using the inventory to evaluate current activities and gaps, and to support
reporting and planning. There is improved understanding within HC of the
expertise and evidence base that the department can bring to emerging issues
and national research collaborations.
The following paragraphs describe recent HC accomplishments that support
the enablers of effective science in the Framework for Federal Science and
Technology: people, leadership, engagement with stakeholders and citizens,
and infrastructure.
People
- In November 2003, the Office of the Chief Scientist organized the second
HC research forum: From Science to Policy. All HC scientists had an opportunity
to showcase their work and pursue collaborative opportunities with colleagues
and stakeholders.
- The BI/CH Development Program is a strategy to improve the recruitment
and development of biologists (BI) and chemists (CH) to the Pest Management
Regulatory Agency (PMRA). The program offers recruits structured learning
and a process for promotion within the Agency.
- HC’s Workplace Health and Human Resources Modernization Action
Plan includes linking strategic planning for S&T personnel and business
objectives, and a National Recruitment Strategy targeting Francophones
and S&T.
Leadership
- To support the fight against SARS, HC hosted a workshop of international
regulatory scientists, SARS experts and manufacturers. Participants identified
key issues for regulating the clinical testing and licensing of future
SARS vaccines and immunotherapy products. This Canadian perspective contributed
to the World Health Organization conference on SARS in October 2003.
- In November 2003, HC issued a framework for coordinated action by the
public health community, called Preparedness and Response to the Respiratory
Infections Season and the Possible Re-emergence of SARS. HC’s investigations
of SARS transmission to health care workers contributed to infection-control
guidelines, which are applied at the regional and local levels. A blood
deferral policy for SARS resulted from a scientific review and assessment
of risks to the blood system.
- HC and CIHR cosponsored the first multisectoral workshop on suicide-related
research in Canada. Participants established themes to guide Canadian suicide
research, and identified Aboriginal communities as a priority. HC is collaborating
with CIHR on a call for proposals, and with the Canadian Population Health
Initiative to explore why suicide rates are high in some First Nations
communities.
- HC and provincial governments convened a National Roundtable on Physical
Activity Research in March 2003. The result was a prioritized research
agenda to guide initiatives that are linked across jurisdictions.
- In April 2003, HC launched the Natural Health Product Research Program
to support its role as product regulator and to address research priorities
identified by stakeholders. Projects are supported either through grants
in partnership with CIHR (e.g. clinical trials), contracts (e.g. research
on good practices), or contributions made by providing seed funding for
the development of proposals.
- The Product Safety Programme took the lead in developing the 2003 Canadian
Standards Association guideline Noise Emission Declarations for Machinery. The
Programme also contributes to noise standards of the International Organization
for Standardization.
- The HC Research Ethics Board ensures the ethical conduct of HC research
involving human participants. In its first year, the Board reviewed and
provided guidance on 64 research applications. HC also funded education
programs by the National Council on Ethics in Human Research, to support
the ethical conduct of research involving humans among the wider research
community.
Engagement
- HC works with the Assembly of First Nations, supporting community-based
participatory research on environmental health risks. Federal budget 2003
included $4.1 million for research on water-borne diseases and contaminants
in First Nations communities. Additional funds will support community-based
drinking water quality monitors and environmental health officers.
- The PMRA, the provinces and the AAFC are evaluating indicator models
for measuring risks of agricultural pesticide use in Canada. A risk indicator
will enable stakeholders and the PMRA to assess pesticide risk reduction
for a variety of needs.
- Fungal Contamination in Public Buildings: Health Effects and Investigation
Methods provides guidance to public health inspectors and industrial
hygienists who manage the health risks of mould growth in public buildings.
HC completed this document in consultation with external experts and
provincial representatives.
- HC and provincial and community stakeholders have correlated the patterns
of chronic disease and mental health to poverty and exclusion, in the report Inequity
and Disease in Atlantic Canada. Documents on the cost of chronic disease,
which will report the incidence, cost and impact of disease for each Atlantic
province, will be completed in 2004 (Nova Scotia’s was completed
in 2002).
- HC coordinated a multijurisdictional program of surveillance, analytical
research, risk assessment and communications on the West Nile Virus.
- HC signed a Memorandum of Understanding with the U.S. Food and Drug Administration
for efficient scientific evaluation of therapeutic products. HC collaborates
with other regulatory organizations on joint reviews, and to share information
on test methods and risks associated with new substances and marketed products.
- HC and provincial environment ministries released From Source to
Tap: Guidance on the Multi-barrier Approach to Safe Drinking Water. It
provides guidance on how to apply total quality management to systems
for producing and distributing safe drinking water.
- The National Microbiological Laboratory determined a critical DNA sequence
of the only non-imported case of BSE in Canada. It supported the CFIA’s
investigation of the case as one acquired through infectious transmission
rather than by spontaneous mutation in the affected animal.
- Through extensive consultations over many years, HC has developed policies
for proposed legislation that would protect Canadians using assisted human
reproduction techniques, prohibit unacceptable practices such as human
cloning, and regulate research involving in vitro human embryos.
Infrastructure
- HC invested in the Statistical Profile on the Health of First Nations
in Canada. It is one of several initiatives to improve First Nations and
Inuit health information for decision making on health care policy, program
development, and costs.
- HC, the Canadian Centre on Substance Abuse, and other partners are sponsoring
the Canadian Addiction Survey of 10 000 Canadians in early 2004. Updated
information about alcohol and drug issues will benefit the renewed Canada’s
Drug Strategy.
- The Inspectorate’s Pharmaceutical Chemistry Laboratory in Longueuil,
Quebec, along with the University of Montreal Chemistry Department, has
developed
reliable methods to detect active ingredients and contaminants
in drugs
and natural health products using capillary electrophoresis technology.
- HC has developed a world-class research infrastructure and capacity in
biotechnology, genomics and proteomics. Laboratory platforms for the manufacture
and high-through-put analysis of DNA micro-arrays and for proteomics research
have been assembled, and a skilled scientific staff employed. With national
and international collaborators, projects are underway to develop biotechnology-based
assays for regulatory assessment of human risks, including new assays for
gene mutations and tumour promotion.
- HC is phasing in eReview, which will provide a stable electronic environment
for accepting and reviewing drug and health product submissions. The Canadian
electronic Common Technical Document was posted for comment in preparation
for electronic submissions in 2004.
- The Canadian Public Health Laboratory Network, including HC, established
PulseNet Canada to quickly detect outbreaks of enteric pathogens, so that
contaminated food can be recalled. The electronic network enables the rapid
exchange of bacterial fingerprints and other surveillance information.
Contact Information
Office of the Chief Scientist
Health Canada
Tel.: (613) 952-8706
Web site: www.hc-sc.gc.ca
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